Tilted implants to support fixed partial dentures

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This review of marginal bone loss and implant survival rate of tilted implants compared with those of axial implants for implant-supported fixed partial dentures (ISFPDs) included 9 studies. The findings suggest no different in survival rates between the two implant types but the possibility of more marginal bone loss with tilted implants.The quality of evidence is low.

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Pulpal and periapical pathosis after placing indirect coronal restorations

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This review investigating the incidence of and influential factors on pulp necrosis and periapical pathosis of vital teeth following indirect restorations included 37 studies. The findings suggest an overal incidence of pulpal necrosis of 5.02% (3.70 to 6.52%).

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Removable partial dentures and quality of life

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This review of the effect of removable partial dentures (RPDs) on quality of life included 16 studies mainly retrospective and cross-sectional providing limited evidence of any association association between patient-reported QoL or satisfaction with technical or biological parameters of RPDs.

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Fibre-reinforced composites fixed partial dentures – survival rates

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9 studies were included in this review of fibre-reinforced composites fixed partial dentures. Only 3 of the included studies were prospective and were considered to be moderate quality. Good survival rates were seen at 4-5years.

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Fixed dental prostheses: rigid and non-rigid connections to implants

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This review considers partial fixed dental prostheses (FDPs) supported by implants and teeth. 10 small limited quality studies were included and suggest they may be an alternative to implant supported FDPs.

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Resin-bonded fixed dental prostheses

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5 studies at high risk of bias were included in this review of the impact of framework design on the clinical performance of resin bonded fixed dental prosthesis. While lower failures were seen with cantilever designs the results should be interpreted cautiously.

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Patients showed a preference to retain a tooth affected by apical periodontitis

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Apical periodontitis (AP) is a common dental problem and can be treated by root canal treatment (RoCT) or extraction.  The aim of this survey for to explore patients’ preferences for management of a tooth affected by AP, when considering its retention via RoCT, its extraction without replacement, or its replacement with an implant supported crown [read the full story…]

Review finds low quality evidence for treatments of partial edentulism

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This review is from the same team that conducted the study we looked at yesterday (Dental Elf 28th Nov 2012) looking at treatments for edentulism. The aim of this review was to identify and critically appraise published studies of treatment methods used in general practice to rehabilitate adult patients with single tooth loss or partial [read the full story…]

Are zirconia-based restorations clinically successful?

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A new critical summary of a 2010 systematic review  by Al-Amleh et al  on zirconium use in dentistry is now available from the ADA Centre for evidence based dentistry. The summariser notes that three types of zirconium ceramics are currently used in dentistry. The original review’s aim was evaluate these restorations in relation to framework [read the full story…]